Interested in Providing LTSS in a Managed Care Delivery System? Click this link to obtain information about strategies States may employ to offer Long Term Services and Supports through a Managed Care Delivery System. Scheduled Maintenance:The system may be unavailable Tuesdays & Fridays from 4 to 5pm PST.§1915(c) HCBS Waiver Application:The web-based 1915(c) Home and Community Based Services Waiver Application was launched on November 17, 2006.

Links & Downloads

HCBS Taxonomy: Download Taxonomy Category and Subcategory Definitions. User Training (Ver. 3.5): Download version 3.5 training materials for State Users and CMS Users. User Training CMS 372 Reports: Download 1915c 372 Report training materials for State and CMS Users. 1915(c) Application: Download the Version 3.6 1915(c) Waiver Application and Accompanying Materials. FAQs: Have questions? The answers may be found in this Frequently Asked Questions document. Waiver Numbering: View a chart explaining how the 1915c Waiver Numbering System works. Webinar Information: Learn how to join a webinar with this Attendee Quick Reference Guide. Still have questions? The answers may be found in this Webinar Frequently Asked Questions document.

1915(c) Waiver Application & 372 Reports

The Medicaid Home and Community-Based services (HCBS) waiver program is authorized in §1915(c) of the Social Security Act. The program permits a state to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization. The Centers for Medicare & Medicaid Services (CMS) recognizes that design and operational features of a waiver program will vary depending on the specific needs of the target population, the resources available to the state, service delivery system structure, state goals and objectives, and other factors. See Links & Downloads for a description of changes to the 1915(c) waiver application and CMS 372 reports implemented February 28 and March 14, 2014.

1915(b) Waiver Application

This waiver preprint is for a StateÂ’s use in requesting authority under section 1915(b) of the Social Security Act (the Act) to operate a managed care program. Specifically, it is designed for use in authorizing programs involving Managed Care Organizations (MCOs), Prepaid Inpatient Health Plans (PIHPs), Prepaid Ambulatory Health Plans (PAHPs), and Primary Care Case Management (PCCM) systems. In addition, it can be used for section 1915(b)(4) fee-for-service selective contracting programs.